sfy 20 19 -2020 budget presentation603 n west st. carroll, ia 51401 (712) 792-3512 (800) 243-0678...

SFY 2019-2020 BUDGET PRESENTATIONpresented by Director Linda Miller

Governor’s Budget Hearing | December 10, 2018

IN TWO OR THREE COLUMNS

Information & Service Assistance

Nutrition & Health Promotion

Services to Promote Independence

THIS IS A SLIDE TITLEWhat We Do

2

“ The biggest challenge identified by Iowans when it comes to aging is overcoming obstacles that make it difficult to stay in their home as they age.

3Source: Joint AARP/OIL/IDA Website Survey, 2018

OUR PROCESS IS EASY

Return to Community

Family Caregiver Redesign

Aging and Disability

Resource Center

THIS IS A SLIDE TITLEDepartment Initiatives

4

Return to Community

15

Return to Community

6

Provides long-term care support planning to assist non-Medicaid eligible seniors who want to re turn to the ir community following a nursing facility or hospital stay.

Counties Served

7

MillsCassWoodburyPottawattamie


28


9

Iowa was awarded a John A. Hartford Foundation grant in 2018 to use evidence-based practices to strengthen Iowa’s Family Caregiver Program.

ADRC Revitalization

310


New Website The Department is launching a new website for LifeLong Links this month.

Database ImprovementsIDA and the AAA Network are focusing on improving the referral database so that information is more accurate and accessible.

Call CenterNew geo-routing system.

Identifies calls by area code and routes directly to the local Area Agency on Aging.

THIS IS A SLIDE TITLEAging and Disability Resource Center (ADRC)

11

FY 2020 Status Quo Funding

Department on Aging & Area Agencies on Aging

$11,042,924

Long-Term Care Ombudsman Program

$1,149,82112

OFFICE OF THE STATE LONG-TERM CARE OMBUDSMANpresented by Cynthia Pederson, State Long-Term Care Ombudsman

Governor’s Budget Hearing | December 10, 2018

OUR PROCESS IS EASY

Local Long-Term Care

Ombudsman

Managed Care Ombudsman

Program

Volunteer Ombudsman

Program

THIS IS A SLIDE TITLEOSLTCO Structure

14

Local Long-Term Care Ombudsmen

15

▰Advocate for residents and tenants of long-term care facilities to protect resident and tenant rights, safety and welfare.

▰Aid in resolution of resident and tenant issues.

▰ Improve quality of life for residents and tenants of long-term care facilities.

Managed Care Ombudsman Program

16

Provides advocacy for the rights of Medicaid managed care members receiving care in a long-term care facility or enrolled in one of the HCBS waivers:▰ AIDS/HIV

▰ Brain Injury

▰ Children’s Mental Health

▰ Elde rly

▰ Health and Disability

▰ Inte llectual Disability

▰ Physical Disability

Volunteer Ombudsman Program

17

Volunteer Ombudsman make a difference in residents’ lives through regular visits to facilities.

They build relationships which foster trust and communication. Residents are encouraged to share information regarding their quality of life in the facility.

“ The pessimist complains about the wind; the optimist expects it to change; the realist adjusts the sails.

- William Arthur Ward

18


TechnologyLLTCO participate in web-based meetings and conduct advocacy for residents/tenants via telephone and web technology

MCOP conducts the majority of advocacy via phone

Volunteer Ombudsmen attend statewide calls via the internet and phone

TravelCurrently leasing two vehicles from DAS

One for the east side and one for the west side of the state

LLTCO rotate cars every three months

Monthly mileage allotment for LLTCO when they do not have the DAS car

VolunteersRestructured training

29 volunteers in the pipeline

Self-guided computer training with intern experiences

Mentor Program: matching mentors to volunteers for first year of service

THIS IS A SLIDE TITLEReadjusting the Sails

19

Questions?Contact Director Miller at

[email protected] or Cynthia Pederson at [email protected].

22

mailto:[email protected]

mailto:[email protected]

IOWA DEPARTMENT ON AGING TABLE OF ORGANIZATION (January 2019)

Iowa Commission on Aging

Linda Miller Office of the Director

Brian Majeski Assistant Director – PSM 2

Jennifer Donovan Administrator Office of Public Guardian

Ex Off 2

Tammy White Acct Tech 3

Dixie Daniels

Acct Tech 2

Jeff Batz Acct 3

Fiscal Unit

Area Agencies on Aging: Designated Quasi-Governmental Instrumentalities of the State: 239 FTEs Elderbridge AAA – 37 FTEs | Northeast Iowa AAA – 61.25 FTEs | Aging Resources of Central IA – 14.8 FTEs | Heritage AAA – 20 FTEs | Milestones AAA – 53 FTEs | Connections AAA – 53.57 FTEs

Rosie Thierer Ex Off 2

Employment Programs

Denotes Lead Worker

Older American Act Programs

Julie Bergeson Prog Plan 3

Linda Hildreth Ex Off 2

Alex Curtis

Ex Off 2

Cynthia Pederson State Long Term Care Ombudsman – PSM 1

Pam Railsback LTCO

Stacia Timmer

LTCO

Kim Cooper LTCO

Tonya Amos LTCO

Kim Weaver LTCO

Julie Pollock LTCO

Jennifer Golle LTCO

Melanie Kempf LTCO

LTC Ombudsman

Vacant Prog Plan 3

Vacant Prog Plan 2

Vacant LTCO

Vacant Ex Off 1

Managed Care

Pamela Heagle LTCO

Administrative

Vacant Prog Plan 2

Janny Miller Admin Asst 2

Vacant Executive Sec

Angela Van Pelt Ex Off 3

Jane Erickson Mgt Anlst 3

Shan Sasser Mgt Anlst 3

Zachary Rhein Comp Off 2

Elder Rights

Ben Mulford Ex Off 2

Katie Mulford Admin Asst 2

Operations

Vacant Ex Off 2

Planning & Compliance

Office of

Public Guardian

Division of Planning, Programs & Administration

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Iowa Area Agencies on Aging | Page 1 of 3Revised 09/2018

Iowa Area Agencies on AgingLYON OSCEOLA DICKINSON EMMET

SIOUX O’BRIEN CLAY PALO ALTO

PLYMOUTH

WOODBURY

MONONA

CHEROKEE BUENAVISTA

IDA SAC

CRAWFORD CARROLL

HARRISON SHELBY AUDUBON

POCAHONTAS

CALHOUN

KOSSUTH

HUMBOLDT

WEBSTER HAMILTON HARDIN

WRIGHT FRANKLIN

HANCOCK

WINNEBAGO WORTH

CERROGORDO

GUTHRIE

POTTAWATTAMIE CASS ADAIR

MILLS

FREMONT

MONTGOMERY

PAGE

ADAMS UNION

TAYLOR RINGGOLD

GREENE BOONE STORY MARSHALL

DALLAS POLK JASPER POWESHIEK

MADISON WARREN MARION MAHASKA

CLARKE

DECATUR

LUCAS

WAYNE

MONROE

APPANOOSE

WAPELLO

DAVIS

TAMA BENTON LINN

IOWA JOHNSON

KEOKUK WASHINGTON

JEFFERSON

VAN BURENLEE

HENRYDES MOINES

LOUISA

MUSCATINE

CEDAR

JONESJACKSON

CLINTON

SCOTT

GRUNDY

BLACK HAWK

BUCHANAN DELAWARE DUBUQUE

BUTLERBREMER

FAYETTE CLAYTON

FLOYD CHICKASAW

MITCHELL HOWARD

WINNESHIEK ALLAMAKEE

PLANNING & SERVICE AREA 1: Elderbridge Agency on Aging

Counties Served: Audubon, Buena Vista, Calhoun, Carroll, Cerro Gordo, Clay, Crawford, Dickinson, Emmet, Floyd, Franklin, Greene, Guthrie, Hamilton, Hancock, Humboldt, Kossuth, Lyon, Mitchell, O’Brien, Osceola, Palo Alto, Pocahontas, Sac, Sioux, Webster, Winnebago, Worth and Wright

Director: Shelly Sindt

Contact Information: Mason City Office22 N Georgia, Ste. 216Mason City, IA 50401(641) 424-0678(800) 243-0678Fax: (641) 424-2927

Carroll Office603 N West St.Carroll, IA 51401(712) 792-3512(800) 243-0678Fax: (712) 792-3534

Fort Dodge Office308 Central Ave.Fort Dodge, IA 50501(515) 955-5244(800) 243-0678Fax: (515) 955-5245

Spencer Office714 10th Ave. E, Ste. 1Spencer, IA 51301(712) 262-1775(800) 243-0678Fax: (712) 262-7520

Website: www.elderbridge.org

1 2

3

4

5

6

510 E 12th Street, Ste. 2Des Moines, IA 50319515.725.3333 | 800.532.3213www.iowaaging.gov


PLANNING & SERVICE AREA 2: Northeast Iowa Area Agency on Aging (NEI3A)

Counties Served: Allamakee, Black Hawk, Bremer, Buchanan, Butler, Chickasaw, Clayton, Delaware, Dubuque, Fayette, Grundy, Hardin, Howard, Jackson, Marshall, Poweshiek, Tama and Winneshiek

Director: Donna Harvey

Contact Information: Waterloo Office2101 Kimball Ave., Ste. 320 PO Box 388Waterloo, IA 50702(319) 874-6840(800) 779-8707Fax: (319) 272-2455

Marshalltown OfficeNew site TBD(641) 753-4648

Email: [email protected]

Website: www.nei3a.org

PLANNING & SERVICE AREA 3: Aging Resources of Central Iowa

Counties Served: Boone, Dallas, Jasper, Madison, Marion, Polk, Story and Warren

Director: Joel Olah

Contact Information: 5835 Grand Ave., Ste. 106Des Moines, IA 50312-1444(515) 255-1310(800) 747-5352Fax: (515) 255-9442


Website: www.agingresources.com

PLANNING & SERVICE AREA 4: The Heritage Area Agency on Aging

Counties Served: Benton, Cedar, Iowa, Johnson, Jones, Linn and Washington

Co-Directors: Kellie Elliott-Kapparos & Jill Sindt

Contact Information: 6301 Kirkwood Blvd. SWCedar Rapids, IA 52404(319) 398-5559 (800) 332-5934Fax: (319) 398-5533

Email: [email protected] [email protected]

Website: www.heritageaaa.org


PLANNING & SERVICE AREA 5: Milestones Area Agency on Aging

Counties Served: Appanoose, Clinton, Davis, Des Moines, Henry, Jefferson, Keokuk, Lee, Louisa, Lucas, Mahaska, Monroe, Muscatine, Scott, Van Buren, Wapello and Wayne

Director: Becky Passman

Contact Information: Davenport Office935 E 53rd St.Davenport, IA 52807-2664(563) 324-9085(855) 410-6222Fax: (563) 324-9384

Ottumwa Office623 Pennsylvania Ave.Ottumwa, IA 52501(641) 682-2270(855) 410-6222Fax: (641) 682-2445

Burlington Office509 Jefferson St.Burlington, IA 52601-5427(319) 752-5433(855) 410-6222Fax: (319) 754-7030


Website: www.milestonesaaa.org

PLANNING & SERVICE AREA 6: Connections Area Agency on Aging

Counties Served: Adair, Adams, Cass, Cherokee, Clarke, Decatur, Fremont, Harrison, Ida, Mills, Monona, Montgomery, Page, Plymouth, Pottawattamie, Ringgold, Shelby, Taylor, Union and Woodbury

Director: Kelly Butts-Elston

Contact Information: Council Bluffs Office300 W Broadway, Ste. 240Council Bluffs, IA 51503(712) 328-2540(800) 432-9209Fax: (712) 328-6899

Creston Office109 N Elm St. Creston, IA 50801(641) 782-4040(800) 432-9209Fax: (641) 782-4519

Sioux City Office2301 Pierce St.Sioux City, IA 51104(712) 279-6900(800) 432-9209Fax: (712) 233-3415


Website: www.connectionsaaa.org

Older Americans Act Services and Funding Sources Draft – January 15, 2019

Services

Allowable IDA Funding Source

Mandatory or Optional

Elderly Services

LifeLong Links

18 - 59 EAPA

T3B

T3C1

T3C2

T3D

T3E

NSIP

Other

Adult Day Care / Health X X X Optional Assisted Transportation X X X Optional Behavioral Health Supports X X X Optional Case Management

FC & ORC Case Management - ORC is Optional EAPA Assessment & Intervention

X X X X

X Mandatory

Chore X X X Optional Congregate Nutrition

CN - FC & ORC – Both Optional X X X X X Mandatory

FC & ORC Counseling ORC is Optional X X X Mandatory Emergency Response System (ERS)

FC & ORC Emergency Response System X X X X Optional

Health Promotion: Evidence-Based X X X X Mandatory Health Promotion: Non Evidence-Based X X X Optional Home Delivered Nutrition

FC & ORC Home Delivered Nutrition – Both Optional

X X X X X Mandatory

Homemaker X X X Optional Information & Assistance

FC & ORC I & A - ORC is Optional EAPA Consultation

X X X X X

X Mandatory

Information Services – FC & ORC X X X Optional Legal Assistance X X X Mandatory Material Aid

FC & ORC Supplemental Services X X X X X Optional

Nutrition Counseling X X X X X Mandatory Nutrition Education X X X X X Mandatory Options Counseling

FC & ORC Options Counseling – ORC is Optional X X X X X Mandatory

Outreach X X X Optional Personal Care X X X Optional FC & ORC Respite Care: (In Home, Out of Home/Day, Out of Home/Night, Other)

X X X Optional

Support Group FC & ORC X X X Optional Training & Education

FC & ORC Training X X X X Optional

Transportation X X X Optional

Information & Service Assistance (Mandatory)

Nutrition & Health Promotion (Mandatory)

Services to Promote Independence (Optional)

• Case Management FC & ORC Case Management EAPA Assessment & Intervention

• Counseling (FC) • Information & Assistance

FC & ORC Information & Assistance EAPA Consultation

• Legal Assistance • Options Counseling

FC Options Counseling ORC Options Counseling - Optional

• Congregate Nutrition FC & ORC Congregate Nutrition - Optional

• Health Promotion: Evidence-Based

• Health Promotion: Non Evidence-Based

(Optional) • Home Delivered Nutrition

FC & ORC Home Delivered Nutrition- Optional

• Nutrition Counseling • Nutrition Education

• Adult Day Care / Health • Assisted Transportation • Behavioral Health Supports • Chore • Emergency Response System

FC & ORC Emergency Response System

• Homemaker • FC & ORC Information

Services

• Material Aid FC & ORC Supplemental Services

• Outreach • Personal Care • FC & ORC Respite Care • FC & ORC Support

Groups • Training & Education

FC & ORC Training • Transportation

Note: Older Relative Caregiver (ORC) services align with Family Caregiver (FC) services. Older Relative Caregiver services are all optional.

510 E 12th Street, Ste. 2 Des Moines, IA 50319 515.725.3333 | 800.532.3213 www.iowaaging.gov

RETURN TO COMMUNITY

PURPOSE: Using evidence-informed interventions, this initiative provides long-term care support planning to assist

non-Medicaid eligible seniors who want to return to their community following a nursing facility or hospital stay. This will achieve cost savings for the consumer, the State, and the Medicaid program by delaying or avoiding enrollment in the Medicaid program.

COUNTIES TARGETED: Cass, Mills, Pottawattamie and Woodbury GOALS:

• Help seniors to maintain their independence by keeping them in their homes with a comprehensive set of wrap around services and supports.

• Achieve person-centered planning by enabling seniors to have the information and assistance they need to stay in their homes if they so choose.

• Integrate services through care coordination and management. • Increase access to primary and preventative care. • Reduce unnecessary facility placement, unnecessary hospital admissions and readmission, emergency

department use.

OBJECTIVES: • Implement evidence informed interventions for older Iowans who are transitioning from hospitals or nursing

facilities by formalizing key referral sources and increasing access to person-centered counseling. • Connect to other programs and resources such as family caregiver program to fully optimize available

resources. • Develop and implement a consumer satisfaction survey to document the quantitative and qualitative benefits

and outcomes.

PERFROMANCE METRICS: • Total Number of Referrals • Total Number of Successful Transitions • Total Number of Transitions to the Community • Average Length of Time in the IRTC Program • Results From Customer Satisfaction Surveys

OUTCOMES:

• Ensure consumer choice in a care setting by assisting in transitioning consumers to a community setting. • Increase access to person-centered planning. • Achieve cost savings for the consumer and the Medicaid program by delaying or avoiding enrollment in the

Medicaid Program.

Consumers

* Individuals age 60 or older* Medicare and/or Private Pay* Desire to return to their community

Connect to Other Resources Within

ADRC Like:

Case Management

Service

Assisted Transportation Service

Chore Service

Congregate Nutrition

Health Promotion: Evidence Based

Health Promotion: Non Evidence Based

Home Delivered Nutrition)

Homemaker Service

Material Aid Service

Nutrition Counseling Service

Nutrition

Personal Care Service

Transportation Service

Legal Assistance

Return To Community Initiative ProcessJanuary 2019

Disability Resources

Mental Health Assistance

Financial Management Counseling

Veteran Assistance

Housing

Food Assistance

Other Supports & Services

Goals

*Facilitate consumer choice in a care setting*Achieve cost savings for the consumer and Iowa’s Medicaid program

Adult Day Services

Discharge Referral

Received From Hospital Case Manager and

AAA is Contacted

Assessment Completed Including

Level of Risk

Hospital Staff Huddle Update on Consumer

Enter Information into TAV and

Wellsky

Hos

pita

lA

rea

Age

ncy

o

n A

gin

gP

rovi

der

P

artn

ers Referrals Made

To Other Agencies

According to Need

Enter Early Identified

Barriers and Comments into

TAV and Wellsky

Options Counselor Meets With Consumer &

Completes Intake

Contact Consumer within 2 Days. Coordinate/

Prioritize with Consumer

Initial Home Visit To Identify Needs,

Barriers and Develop Care Plan

Follow Up After

Discharge For

Performance Evaluation

Provide RTC Options

Counseling & Services up to

90 days

If Assistance is Needed after 90

Days, Refer to Case Mgmt

OAA Programs & Services

Consumer Discharged To

Facility?

LTC

Faci

lity

Consumer is Transferred to

Facility

Consumer Appears on TAV Dashboard /

Information Faxed To AAA

No

Yes

Receive Referral of

Pending Discharge

Options Counselor

Meets With Senior to

Introduce RTC

Person Center

Planning With Senior

Begins

Make Referral

Make Referral

Process Stages

Referral

Admitted

Discharge

Discharge With

Appropriate Services in

Place

Consumer Information & Needs Entered

into TAV

Emergency Response System

sfy 20 19 -2020 budget presentation603 n west st. carroll, ia 51401 (712) 792-3512 (800) 243-0678...

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